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Enter Health Information Technology: Expanding Theories of the Doctor–Patient Relationship for the Twenty-First Century Health Care Delivery System

  • Eric R. Wright
Chapter
Part of the Handbooks of Sociology and Social Research book series (HSSR)

Abstract

Since the publication of the Institute of Medicine’s landmark report To Err is Human (1999), health care industry leaders and policymakers have emphasized the central importance of improving the quality of care and reducing the number of medical errors. More recently, various health information technologies (HIT) have been identified by many as essential quality improvement tools. Indeed, over the past two decades, HIT has expanded dramatically. While originally viewed as a hospital-based resource, HIT is increasingly entering the exam rooms of both primary care and specialty providers. The enthusiasm for HIT is undeniable, yet the impact of the expanded use of HIT on the care delivery process, especially the impact on the doctor–patient relationship, is still unclear. Available research highlights an emerging paradox. On the one hand, the strength and quality of the doctor–patient relationship have been shown to have important implications for understanding both the quality and outcome of care provided. At the same time, a growing body of literature suggests that physicians’ utilization of HIT during consultations may be changing the nature of their relationships with patients. This chapter reviews the literature on the expansion of HIT in primary care settings and explores the sociological implications of this emerging trend for the social dynamics of doctor–patient interaction.

Keywords

Electronic Health Record Health Information Technology Patient Relationship Personal Health Record Medical Encounter 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgements

The author would like to thank Harold Kooreman, Brian Dixon, Ainur Aiypkhanova, and Oluyemi Aladejebi for their research assistance.

References

  1. Aetna Intelihealth Inc (2008) “InteliHealth.” Retrieved 10/16/2008 (http://www.intelihealth.com/IH/intIH/WSIHW000/408/408.html).
  2. Ahmad F, Hudak P, Bercovitz K, Hollenberg E, Levinson W (2006) Are physicians ready for patients with internet-based health information? J Med Internet Res 8:e22CrossRefGoogle Scholar
  3. Als AB (1997) The desk-top computer as a magic box: patterns of behaviour connected with the desk-top computer; GPs’ and patients’ perceptions. Fam Pract 14:17–23CrossRefGoogle Scholar
  4. AlUbaydli M (2004) Handheld computers. Br Med J 328:1181–1184CrossRefGoogle Scholar
  5. American Hospital Association (2007) Continued progress: hospital use of information technologyGoogle Scholar
  6. Andreassen HK, Trondsen M, Kummervold PE, Gammon D, Hjortdahl P (2006) Patients who use e-mediated ­communication with their doctor: new constructions of trust in patient-doctor relationship. Qual Health Res 16:238–247CrossRefGoogle Scholar
  7. Asch SM, McGlynn EA, Hogan MM, Hayward RA, Shekelle P, Rubenstein L, Keesey J, Adams J, Kerr EA (2004) Comparison of quality of care for patients in the veterans health administration and patients in a national sample. Ann Intern Med 141:938–945Google Scholar
  8. Ash JS, Berg M, Coiera E (2004) Some unintended consequences of information technology in health care: The nature of patient care information system-related errors. J Am Med Inform Assoc 11:104–112CrossRefGoogle Scholar
  9. Association of American Medical Colleges (2004) Learning from others: a literature review and how-to guide from the health professions partnership initiative. The Robert Wood Johnson Foundation and the W.K. Kellogg Foundation, Washington, DCGoogle Scholar
  10. Aydin CE (1989) Occupational adaptation to computerized medical information systems. J Health Soc Behav 30:163–179CrossRefGoogle Scholar
  11. Bales RF (1950) Interaction process analysis: a method for the study of small groups. Addison-Wesley, Reading, MAGoogle Scholar
  12. Bates DW, Gawande AA (2003) Improving safety with information technology. N Engl J Med 348:2526–2534CrossRefGoogle Scholar
  13. Booker R (2005) Effective communication with the patient. Eur Respir Rev 14:93–96CrossRefGoogle Scholar
  14. Bush GW (2004) Executive order: incentives for the use of health information technology and establishing the ­position of eth national health information technology coordinator. Retrieved August 25, 2008 (http://www.­whitehouse.gov/news/releases/2004/04/20040427-4.html)
  15. Carroll AE, Saluja S, Tarczy-Hornoch P (2002) The implementation of a personal digital assistant (PDA) based patient record and charting system: Lessons learned. In: American Medical Informatics Association Annual SymposiumGoogle Scholar
  16. Centers for Medicare and Medicaid Services (2005) Medicare pay for performance (P4P) initiatives. Retrieved 10/16/2008 (http://www.cms.hhs.gov/apps/media/press/release.asp?counter=1343)
  17. Chaudhry B, Wang J, Shinyi Wu, Maglione M, Mojica W, Roth E, Morton SC, Shekelle PG (2006) Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. Ann Intern Med 144(10):742–752Google Scholar
  18. Chin JJ (2003) The use of information technology in medicine: defining its role and limitations. [comment]. Singapore Med J 44:149–51Google Scholar
  19. Christensen T, Grimsmo A (2008) Instant availability of patient records, but diminished availability of patient information: a multi-method study of GP’s use of electronic patient records. BMC Med Inform Decis Mak 8:12CrossRefGoogle Scholar
  20. Cloud R (2001) Internet screening and interventions for problem drinking: results from the http://www.carebetter.com pilot study. Alcohol Treat Q 19:23–44
  21. Colmers JM (2007) Public reporting and transparency. The commonwealth fund: commission on a high performance health systemGoogle Scholar
  22. U.S. Congress (1996) Health insurance portability and accountability act of 1996.Google Scholar
  23. Connors HR (2001) Technology: telehealth on the rise. J Prof Nurs 17:73CrossRefGoogle Scholar
  24. Cotten SR (2001) Implications of internet technology for medical sociology in the new millennium. Sociol Spectr 21:319–340CrossRefGoogle Scholar
  25. DeCew JW (2000) The priority of privacy for medical information. Soc Philos Policy 17:213–234CrossRefGoogle Scholar
  26. Dee CR, Teolis M, Todd AD (2005) Physicians’ use of personal digital assistants in clinical decision making. J Med Libr Assoc 93:480–6Google Scholar
  27. Dennis A, Newman W (1996) Supporting doctor–patient interaction: using a surrogate application as a basis for evaluation. In: Conference on human factors in computing systems. ACM, Vancouver, BC, CanadaGoogle Scholar
  28. DesRoches CM, Campbell EG, Rao SR, Donelan K, Ferris TG, Jha RK, Levy DE, Rosenbaum S, Shields AE, Blumenthal D (2008) Electronic health records in ambulatory care – a national survey of physicians. N Engl J Med 359:50–60CrossRefGoogle Scholar
  29. Division of Information Technology and Research (2007) Electronic health record overview. Retrieved 09/03/2008 (http://www.ehrweb.org/ehrweb/ehroverview/pages/ehroverview.htm)
  30. Dixon BE, Wright DE, Quantz SD, Wright ER (2007) Health information exchange may cut costs and reduce medical errors, but raise challenges. Indiana University, Indianapolis, INGoogle Scholar
  31. eHealth Magazine (2008) Hospital robot expands doctors’ reach. Retrieved September 16, 2008 (http://www.ehealthonline.org/news/news-details.asp?newsid=15359)
  32. Emanuel EJ, Emanuel LL (1992) Four models of the physician-patient relationship. J Am Med Assoc 267:2221–2226CrossRefGoogle Scholar
  33. Epstein RM, Alper BS, Quill TE (2004) Communicating evidence for participatory decision making. J Am Med Assoc 291:2359–2366CrossRefGoogle Scholar
  34. Frankel R, Altschuler A, George S, Kinsman J, Jimison H, Robertson NR, Hsu J (2005) Effects of exam-room ­computing on clinician-patient communication. J Gen Intern Mede 20:677–682CrossRefGoogle Scholar
  35. Freidson E (1970) Profession of medicine: a study of the sociology of applied knowledge. Dodd, Mead, New York, NYGoogle Scholar
  36. Garg AX, Neill KJ, Adhikari Heather McDonald, Patricia Rosas-Arellano M, Devereaux PJ, Beyene J, Sam J, Brian Haynes R (2005) Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review. J Am Med Assoc 293:1223–1238CrossRefGoogle Scholar
  37. Garrido T, Jamieson L, Zhou Y, Wiesenthal A, Liang L (2005) Effect of electronic health records in ambulatory care: retrospective, serial, cross sectional study. BMJ (Clinical Research Ed) 330:581–581CrossRefGoogle Scholar
  38. Garritty C, El Emam K (2006) Who’s using PDAs? Estimate of PDA use by healthcare providers: a systematic review of surveys. J Med Internet Res 8:e7CrossRefGoogle Scholar
  39. Goffman E (1983) The interaction order. Am Sociol Rev 48:1–17CrossRefGoogle Scholar
  40. Grady D (2008) Self-diagnosis by internet? Tricky business. In International Herald TribuneGoogle Scholar
  41. Grondahl HH (2005) The machine made me do it!: an exploration of ascribing agency and responsibility to decision support systems. Master’s Thesis, Department of Religion and Culture, Centre for Applied Ethics, Linköping University, Linköping, SwedenGoogle Scholar
  42. Grondahl HH (2008) Are agency and responsibility still solely ascribable to humans? The case of medical decision support systems. In: Duquenoy P, George C, Kimppa K (eds) Ethical, legal, and social issues in medical informatics. Medical Information Science Reference, Hershey, NYGoogle Scholar
  43. Guadagnoli E, Ward P (1998) Patient participation in decision-making. Soc Sci Med 47:329–339CrossRefGoogle Scholar
  44. Gustafson DH, Gustafson RC, Wackerbarth S (1997) CHESS: health information and decision support for patients and families. Generations 21:56Google Scholar
  45. Hafferty FW, Light DW (1995) Professional dynamics and the changing nature of medical work. J Health Soc Behav (Extra Issue):132–153Google Scholar
  46. Hardey M (2001) Doctor in the house: the internet as a source of lay health knowledge and the challenge to expertise. Sociol Health Illn 21:820–835CrossRefGoogle Scholar
  47. Harding J (1994) Cookbook medicine – advisability and efficacy of practice guidelines. Physician Exec Retrieved 10/16/2008 (http://findarticles.com/p/articles/mi_m0843/is_/ai_15786956)
  48. Harrison JP, Palacio C (2006) The role of clinical information systems in health care quality improvement. Health Care Manag 25:206–212Google Scholar
  49. Hartley CP (2007) Hey doc, can you update my PHR? Retrieved 10/16/2008 (http://www.fortherecordmag.com/archives/ftr_02192007p6.shtml)
  50. Hassol A, Walker JM, Kidder D, Rokita K, Young D, Pierdon S, Deitz D, Kuck S, Ortiz E (2004) Patient experiences and attitudes about access to a patient electronic health care record and linked web messaging. J Am Med Inform Assoc 11:505–513CrossRefGoogle Scholar
  51. Heath C, Luff P, Svensson MS (2003) Technology and medical practice. Sociol Health Illn 25:75–96CrossRefGoogle Scholar
  52. Heritage J, Maynard DW (2006a) Communication in medical care: interaction between primary care physicians and patients. Cambridge University Press, CambridgeCrossRefGoogle Scholar
  53. Heritage J, Maynard DW (2006b) Problems and prospects in the study of physician-patient interaction: 30 years of research. Annu Rev Sociol 32:351–74CrossRefGoogle Scholar
  54. Heritage J, Raymond G (2005) The terms of agreement: indexing epistemic authority and subordination in talk-in-interaction. Soc Psychol Q 68:15–38CrossRefGoogle Scholar
  55. Hohmann AA (1999) A contextual model for clinical mental health effectiveness research. Ment Health Serv Res 1:83–91CrossRefGoogle Scholar
  56. Hsu J, Huang J, Fung V, Robertson N, Jimison H, Frankel R (2005) Health information technology and physician-patient interactions: impact of computers on communication during outpatient primary care visits. J Am Med Inform Assoc 12:474–480CrossRefGoogle Scholar
  57. Institute of Medicine (1999) To err is human: building a safer health system. National Academy Press, Washington, DCGoogle Scholar
  58. Institute of Medicine (2001) Crossing the quality chasm: a new health system for the 21st century. National Academy Press, Washington, DCGoogle Scholar
  59. Inui TS, Carter WB (1985) Problems and prospects for health services research on provider-patient communication. Med Care 23(5):521–538CrossRefGoogle Scholar
  60. Jain A, Ashish Atreja C, Harris M, Lehmann M, Burns J, Young J (2005) Responding to the rofecoxib withdrawal crisis: a new model for notifying patients at risk and their health care providers. Ann Intern Med 142:182–186Google Scholar
  61. Jefferson G (1988) On the sequential organization of troubles-talk in ordinary conversation. Soc Probl 35:418–441CrossRefGoogle Scholar
  62. Kucher N, Koo S, Quiroz R, Cooper JM, Paterno MD, Soukonnikov B, Goldhaber SZ (2005) Electronic alerts to prevent venous thromboembolism among hospitalized patients. N Engl J Med 352:969–977CrossRefGoogle Scholar
  63. Legler JD, Oates R (1993) Patients’ reactions to physician use of a computerized medical record system during ­clinical encounters. J Fam Pract 37:241–244Google Scholar
  64. Light DW (1989) Social control and the American health care system. In: Freeman H, Levine S (eds) Handbook of medical sociology. Prentice Hall, Englewood Cliffs NJ, pp 456–474Google Scholar
  65. Linder JA, Schnipper JL, Tsurikova R, Melnikas AJ, Volk LA, Middleton B (2006) Barriers to electronic health record use during patient visits. AMIA Annu Symp Proc 2006:499–503Google Scholar
  66. Liu X, Sawada Y, Takizawa T, Sato H, Sato M, Sakamoto H, Utsugi T, Sato K, Sumino H, Okamura S, Sakamaki T (2007) Doctor–patient communication: a comparison between telemedicine consultation and face-to-face ­consultation. Intern Med 46:227–232CrossRefGoogle Scholar
  67. Lottridge D, Chignell M, Straus S (2006) Social impacts of handheld computer information retrieval during ­physician-patient communication. In: 20th International Symposium on Human Factors in Telecommunication. Sophia-Antipolis, FranceGoogle Scholar
  68. Makoul G, Curry RH, Tang PC (2001) The use of electronic medical records: communication patterns in outpatient encounters. J Am Med Inform Assoc 8:610–615Google Scholar
  69. Margalit RS, Roter D, Dunevant MA, Larson S, Reis S (2006) Electronic medical record use and physician-patient communication: An observational study of Israeli primary care encounters. Patient Educ Couns 61:134–141CrossRefGoogle Scholar
  70. Maynard DW (2003) Bad news, good news: conversational order in everyday talk and clinical settings. University of Chicago Press, Chicago, ILGoogle Scholar
  71. Maynard DW, Frankel RM (2006) On diagnostic rationality: bad news, good news, and the symptom residue. In: Heritage J, Maynard DW (eds) Communication in medical care: interactions between primary care physicians and patients. Cambridge University Press, CambridgeGoogle Scholar
  72. Maynard DW, Heritage J (2005) Conversation analysis, doctor–patient interaction and medical communication. Med Educ 39:428–435CrossRefGoogle Scholar
  73. McGrath JM, Arar NH, Pugh JA (2007) The influence of electronic medical record usage on nonverbal communication in the medical interview. Health Inform J 13:105–18CrossRefGoogle Scholar
  74. McManis S (2008) A checkup on web-side manners: patient-generated doctor reviews abound, but are they accurate? Retrieved 10/16/2008 (http://company.angieslist.com/Visitor/News/PressDetail.aspx?i=1189)
  75. Mishler EG (1984) The discourse of medicine: dialectics of medical interviews. Ablex, Norwood, NJGoogle Scholar
  76. Murphy T (2007) Angie’s to-do list: doctors. Retrieved 10/16/2008 (http://www.angieslist.com/AngiesList/Visitor/PressDetail.aspx?i=818)
  77. Murray M, Harris L, Overhage JM, Zhou X-H, Eckert G, Smith F, Buchanan NN, Wolinsky F, McDonald C, Tierney W (2004) Failure of computerized treatment suggestions to improve health outcomes of outpatients with uncomplicated hypertension: results of a randomized controlled trial. Pharmacotherapy 24:324–337CrossRefGoogle Scholar
  78. MyPHR.com. (2008) Your personal health information: a guided tour. Retrieved 10/16/2008 (http://www.myphr.com/resources/tour.asp)
  79. Norman CD, Skinner HA (2006) e-Health literacy: essential skills for consumer health in a networked world. J Med Internet Res 8:e9CrossRefGoogle Scholar
  80. Ong LML, de Haes JCJM, Hoos AM, Lammes FB (1995) Doctor–patient communication: a review of the literature. Soc Sci Med 40:903–918CrossRefGoogle Scholar
  81. Ornstein S, Bearden A (1994) Patient perspectives on computer-based medical records. J Fam Pract 38:606–610Google Scholar
  82. Osheroff J, Teich J, Middleton B, Steen E, Wright A, Detmer D (2007) A roadmap for national action on clinical decision support. J Am Med Inform Assoc 14:141–145CrossRefGoogle Scholar
  83. Patel V, Arocha J, Kushniruk A (2002) Patients’ and physicians’ understanding of health and biomedical concepts: relationship to the design of EMR systems. J Biomed Inform 35:8–16CrossRefGoogle Scholar
  84. Pizzi R (2006) Insurance industry reps reveal PHR plan. Retrieved 10/16/2008 (http://www.healthcareitnews.com/story.cms?id=6052)
  85. Pizzi R (2007) Smartphones gain appeal with more docs. Retrieved 09/03/2008 (http://www.healthcareitnews.com/story.cms?id=8176&page=2)
  86. Powell JC (2004) NHS national programme for information technology: changes must involve clinicians and show the value to patient care. BMJ 328:1200CrossRefGoogle Scholar
  87. Ridsdale L, Hudd S (1994) Computers in the consultation: the patient’s view. Br J Gen Pract 44:367–369Google Scholar
  88. Ritzer G (1993) The McDonaldization of society. Pine Forge Press, Los Angeles, CAGoogle Scholar
  89. Ritzer G, Walczak D (1988) Rationalization and the deprofessionalization of physicians. Soc Forces 67:1–22CrossRefGoogle Scholar
  90. Robert Wood Johnson Foundation (2006) Health information technology in the United States: the information base for progressGoogle Scholar
  91. Roob M (2006) Health care affordability and quality for hoosiers. Indiana Family and Social Services Administration, Indianapolis, INGoogle Scholar
  92. Rosenthal E (1993) Insurers second-guess doctors, provoking debate over savings. In: The New York Times. New York, NYGoogle Scholar
  93. Roter DL (1977) Patient participation in the patient-provider interaction: the effects of patient question asking on the quality of interaction, satisfaction and compliance. Health Educ Monogr 5:281–315Google Scholar
  94. Roter DL, Hall JA (2006) Doctors talking with patients/patients talking with doctors: improving communication in medical visits, 2nd edn. Praeger, New York, NYGoogle Scholar
  95. Roter DL, Larson S (2002) The roter interaction analysis system (RIAS): Utility and flexibility for analysis of ­medical interactions. Patient Educ Couns 42:243–251CrossRefGoogle Scholar
  96. Roter DL, Hall JA, Katz NR (1988) Physician-patient communication: a descriptive summary of the literature. Patient Educ Couns 12(2):99–109CrossRefGoogle Scholar
  97. Rothschild J, Fang E, Liu V, Litvak I, Yoon C, Bates D (2006) Use and perceived benefits of handheld computer-based clinical references. J Am Med Inform Assoc 13:619–626CrossRefGoogle Scholar
  98. Rouf E, Whittle J, Na L, Schwartz MD (2007) Computers in the exam room: differences in physician-patient interaction may be due to physician experience. J Gen Intern Med 22:43–48CrossRefGoogle Scholar
  99. Rubin M, Bateman K, Donnelly S, Stoddard G, Stevenson K, Gardner R, Samore M (2006) Use of a personal digital assistant for managing antibiotic prescribing for outpatient respiratory tract infections in rural communities. J Am Med Inform Assoc 13:627–634CrossRefGoogle Scholar
  100. Sacks H, Schegloff EA, Jefferson G (1974) A simplest systematics for the organization of turn-taking for conversation. Language 50:696–735CrossRefGoogle Scholar
  101. Schegloff EA, Jefferson G, Sacks H (1977) The preference for self-correction in the organization of repair in ­conversation. Language 53:361–382CrossRefGoogle Scholar
  102. Schloeffel P (2004) Current EHR developments: an Australian and international perspective – Part 1. Health care and informatics review Online TM, September 2004Google Scholar
  103. Shaw B, Han JY, Hawkins R, Stewart J, McTavish F, Gustafson D (2007) Doctor–patient relationship as motivation and outcome: examining uses of an interactive cancer communication system. Int J Med Inform 76:274–282CrossRefGoogle Scholar
  104. Shekelle P, Morton S, Keeler E (2006) Costs and benefits of health information technology. Evid Rep Technol Assess:1–71Google Scholar
  105. Simon S, McCarthy M, Kaushal R, Jenter C, Volk L, Poon E, Yee K, Orav J, Williams D, Bates D (2008) Electronic health records: which practices have them, and how are clinicians using them? J Eval Clin Pract 14:43–47CrossRefGoogle Scholar
  106. Solomon GL, Dechter M (1995) Are patients pleased with computer use in the examination room? J Fam Pract 41:241–4Google Scholar
  107. Staggers N, Thompson CB, Snyder-Halpern R (2001) History and trends in clinical information systems in the United States. J Nurs Scholarsh 33:75–81CrossRefGoogle Scholar
  108. Starr P (1982) The social transformation of American medicine. Basic Books, New York, NYGoogle Scholar
  109. Starr P (2002) Health care reform and the new economy. Health Aff 19:23–32CrossRefGoogle Scholar
  110. Steinberg KE (2006) Cookbook medicine: recipe for disaster? J Am Med Dir Assoc 7:470–472CrossRefGoogle Scholar
  111. Stoeckle JD (1988) Reflections on modern doctoring. Milbank Q 66:76–91Google Scholar
  112. The Medical Society of the State of New York (2008) Survey reveals that doctors feel pressured by health insurers to alter treatment of patients. Retrieved 10/16/2008 (http://www.medicalnewstoday.com/printerfriendlynews.php?newsid=120875)
  113. Tierney W, Overhage M, Murray M, Harris L, Zhou X-H, Eckert G, Smith F, Nienaber N, McDonald C, Wolinsky F (2003) Effects of computerized guidelines for managing heart disease in primary care. J Gen Intern Med 18:967–976CrossRefGoogle Scholar
  114. Tu Ha T, Cohen G (2008) Tracking report 20: striking jump in consumers seeking health care information. Center for Studying Health System Change, Washington, DCGoogle Scholar
  115. Tyson TR (2000) The internet: tomorrow’s portal to non-traditional health care services. New developments in informatics and ambulatory care. J Ambul Care Manage 23:1–7Google Scholar
  116. U.S. Department of Health & Human Services (2008) Health information technology home. Retrieved 10/16/2008 (http://www.hhs.gov/healthit)
  117. van Uden-Kraan CF, Drossaert CH, Taal E, Seydel ER, van de Laar MA (2008) Participation in online patient support groups endorses patients’ empowerment. Patient Educ Couns 74:61–69CrossRefGoogle Scholar
  118. Ventres W, Kooienga S, Marlin R, Vuckovic N, Stewart V (2005) Clinician style and examination room computers: a video ethnography. Fam Med 37:276–281Google Scholar
  119. Ventres W, Kooienga S, Vuckovic N, Marlin R, Nygren P, Stewart V (2006) Physicians, patients, and the electronic health record: an ethnographic analysis. Ann Fam Med 4:124–31CrossRefGoogle Scholar
  120. Versel N (2005) One in five group practices now use EHRs. Health IT World, Health IT World News Newsletter 2. 1-25-2005Google Scholar
  121. Waitzkin H (1991) The politics of medical encounters. Yale University Press, New Haven CTGoogle Scholar
  122. Wang S, Middleton B, Prosser L, Bardon C, Spurr C, Carchidi P, Kittler A, Goldszer R, Fairchild D, Sussman A, Kuperman G, Bates D (2003) A cost-benefit analysis of electronic medical records in primary care. Am J Med 114:397–403CrossRefGoogle Scholar
  123. Warshawsky S, Pliskin J, Urkin J, Cohen N, Sharon A, Binztok M, Margolis C (1994) Physician use of a computerized medical record system during the patient encounter: a descriptive study. Comput Meth Programs Biomed 43:269–273CrossRefGoogle Scholar
  124. West C, Frankel R (1991) Miscommunication in medicine. In: Coupland N, Giles H, Wiemann JM (eds) Misscommunication and problematic talk. Sage, Newbury Park, CA, pp 166–194Google Scholar
  125. Winkelman W, Leonard K, Rossos P (2005) Patient-perceived usefulness of online electronic medical records: employing grounded theory in the development of information and communication technologies for use by patients living with chronic illness. J Am Med Inform Assoc 12:306–314CrossRefGoogle Scholar

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© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of Public Health, IUPUICenter for Health Policy, Indiana University School of MedicineIndianapolisUSA

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